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BROOKDALE LAWNDALE PARK
NPI 1043375009
Assisted Living Facility in Greensboro, NC

Active since December 27, 2006CLIA 34D2152969 · Waiver
4400 LAWNDALE DR, GREENSBORO, NC 27455(336) 286-3432(336) 286-3005 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookdale Lawndale Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKDALE LAWNDALE PARK (NPI 1043375009) is a healthcare organization registered as an assisted living facility in Greensboro, North Carolina and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Joanne K Leskowicz, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1043375009
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN ASSISTED LIVING, LLC.
Location Address4400 LAWNDALE DRGreensboro, NC 27455-1819
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Phone(336) 286-3432
Fax(336) 286-3005
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialJoanne K LeskowiczSenior Vice President · (414) 918-5000
Enumeration DateDecember 27, 2006
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1043375009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4400 LAWNDALE DR, Greensboro, NC 27455
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Other Names 1

Doing Business AsBrookdale Lawndale Park

Other Identifiers 1

Medicaid7803875NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2152969

Brookdale Lawndale Park · Greensboro, NC
Active · expires Aug 20, 2026
CLIA Number34D2152969
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorShawna Grier-Smith
Laboratory Phone(336) 286-3432
Laboratory LocationBrookdale Lawndale Park4400 Lawndale Drive, Greensboro, NC 27455
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Assisted Living, LLC.'s NPI number?

The NPI number for Southern Assisted Living, LLC. is 1043375009. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Brookdale Lawndale Park.

Where is Southern Assisted Living, LLC. located?

Southern Assisted Living, LLC. is located at 4400 Lawndale Dr, Greensboro, NC 27455. The listed phone number is (336) 286-3432.

What is Southern Assisted Living, LLC.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Southern Assisted Living, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2152969) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Assisted Living, LLC. was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.